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JESSICA MARIE REYES MANZANO DDS
NPI 1124984612
Dentist in San Diego, CA

Active since December 29, 2025
9225 MIRA MESA BLVD STE 104, SAN DIEGO, CA 92126(858) 536-9383(858) 536-9395 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Marie Reyes Manzano Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARIE REYES MANZANO DDS (NPI 1124984612) is an individual dentist in San Diego, California, licensed in California (112495) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1124984612
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESSICA MARIE REYES MANZANOCredential: DDS
Location Address9225 MIRA MESA BLVD STE 104San Diego, CA 92126-4810
Mailing Address9201 Midbury CtSan Diego, CA 92126-4837 · (858) 382-3271
Phone(858) 536-9383
Fax(858) 536-9395
Sole ProprietorNo
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1124984612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 112495
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9225 MIRA MESA BLVD STE 104, San Diego, CA 92126
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Marie Manzano's NPI number?

The NPI number for Jessica Marie Manzano is 1124984612. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Jessica Marie Manzano located?

Jessica Marie Manzano practices at 9225 Mira Mesa Blvd Ste 104, San Diego, CA 92126. The listed phone number is (858) 536-9383.

What is Jessica Marie Manzano's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jessica Marie Manzano was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.